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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846163
Report Date: 09/27/2023
Date Signed: 09/27/2023 12:25:55 PM

Document Has Been Signed on 09/27/2023 12:25 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KIDDIE ACADEMY OF CORONAFACILITY NUMBER:
334846163
ADMINISTRATOR:MELISSA BORBOAFACILITY TYPE:
830
ADDRESS:3977 BEDFORD CANYON RDTELEPHONE:
(951) 444-7434
CITY:CORONASTATE: CAZIP CODE:
92883
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: DATE:
09/27/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Licensee Nemi Kotadiya & Director Melissa BorboaTIME COMPLETED:
12:35 PM
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On 09/27/2023 at 12:00 PM, Licensing Program Analyst (LPA) Raymond Moorehead arrived at the facility to conduct a Case Management report to amend the Case Management report that was issued to the facility on 9/15/2023. LPA toured the facility, took census, and met with Licensee Nemi Kotadiya & Director Melissa Borboa.

After further review and additional documentation obtained, the deficiency cited on 9/15/2023 is being amended to remove the citation regarding Teacher to Child Ratio.

An exit interview was conducted with the Licensee and Director, Appeal Rights were discussed and issued, a copy of this report and amended was provided, and a Notice of Site Visit (LIC 9213) was issued. The Notice of Site Visit shall be posted where the parent/guardian of children enter and exit the facility. The Notice of Site Visit must remain posted for 30 consecutive days. Failure to maintain posting as required will result in a civil penalty of $100.00.

A copy of this report must be made available for the next three years.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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